Individual
MS. JENNIFER L FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-5129
(508) 856-2022
Mailing address
108 SCHOOL ST. N, BARRE, MA 01005
(508) 612-0405
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
620
MA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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